Key result
Arrhythmias drive substantial morbidity in aging ACHD, requiring specialized ablation and device management.
Why the study?
With the aging of congenital heart disease patients, the burden of arrhythmias is expanding, prompting a review of current knowledge and future directions regarding arrhythmia management.
This review highlights the growing burden of arrhythmias in aging congenital heart disease patients and summarizes current management strategies including ablation, device therapy, and pharmacotherapy.
Answers are grounded in this paper and cite their sources.
May warrant specialized arrhythmia care in aging CHD; leaves open standardized ICD indications across subgroups.
With the aging of congenital heart disease (CHD) patients, the burden of arrhythmias is expanding. Atrial arrhythmias, especially intra-atrial reentrant tachycardia and atrial fibrillation, are the most prevalent forms of arrhythmia. Managing comorbidities, such as obesity, using pharmacotherapy, including antiarrhythmics and anticoagulants, and ablation therapy has become the cornerstone of arrhythmia management. Ventricular tachycardias are also not rare; however, except for tetralogy of Fallot patients, recommendations for the use of implantable cardioverter defibrillators for primary prevention in other CHD patients are still not well established. Patients with CHD might also present with atrioventricular blockages because of their anatomy or following a surgical procedure. The scope of this article is to review the current knowledge and discuss the future directions regarding arrhythmia management in CHD patients.
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Ntiloudi et al. (2023) conducted a review in Congenital Heart Disease. Arrhythmia management was evaluated. Arrhythmias represent a major and growing cause of morbidity in aging patients with congenital heart disease, necessitating specialized multidisciplinary management including ablation and device therapy.
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